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Illinois rates for HCPCS Q2028

Injection Sculptra 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $1.37 / $2.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $2.41 / $10.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $2.39 / $125.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.69